Organization
HEALTH SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY LEE PIAS C.PED. (VICE PRESIDENT)
(414) 899-1113
Entity
Organization
Contact information
Practice address
15350 W NATIONAL AVE STE 109, NEW BERLIN, WI 53151-5158
(262) 662-9774
(262) 662-4752
Mailing address
W243S8220 EVERGREEN DR, BIG BEND, WI 53103-9610
(262) 662-9774
(262) 662-4752
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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